Perhaps no area of facial trauma has inspired more controversy than the management of mandibular subcondylar fractures. Fractures of the condylar region. Clinically, this equates to open treatment of condylar neck fractures or subcondylar (caudal) fractures (A). The surgeon may elect to place one or two plates. Background and objective: Mandibular fractures are the most frequent and sub condylar region is a common site of fracture. Proper.

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Copyright American Medical Association. Perhaps no area of facial trauma has inspired more controversy than the management of mandibular subcondylar fractures.

For example, the “open” surgeons claim better anatomic reduction and postoperative radiographic appearance, while the “closed” surgeons favor a conservative approach with potentially fewer surgical complications and acceptable long-term functional results. Once the decision has been made that the fracture fulfills the subcondylra for an open approach, dracture decision tree branches once again to include the recent addition of endoscopic guidance during fracture reduction and stabilization.

Mandibular Subcondylar Fractures: A Review on Treatment Strategies

During the past decade, surgeons became fracturr with the concept of minimally invasive surgery to avoid the patient morbidity that could arise from more traditional open surgical techniques eg, laparoscopic techniques. While it is against surgical dicta to consider treatment of traumatic injuries through small incisions and limited access, the application of minimally invasive surgery to facial fracture repair has become widespread.

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Endoscopic fracture repair has been described as an approach to fracture management with a potential for decreased patient morbidity. Since the surgical techniques and technology, as well as the indications, continue to develop, there are few data in the literature regarding the outcomes of endoscopic fracture treatment. It is expected that the initial operative times may be longer than with traditional open subcondylar fracture surgery; however, similar operative times will be obtained after the first interventions, and the advantages and usefulness of the technique will then become apparent.

Long-term outcomes of endoscopic-assisted repair of subcondylar fractures are similar to those obtained with open and closed approaches, but the intraoperative benefits of improved visibility in an illuminated and magnified field of view, decreased bleeding, and better anatomic reduction, as well as expected decreased postoperative patient morbidity eg, pain, edema, and limitation of openingmake endoscopy an attractive surgical adjunct.

Considerations in Subcondylar Fracture Management. Arch Otolaryngol Head Neck Surg.

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Mandibular Subcondylar Fractures: A Review on Treatment Strategies

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Mandibular fracture – Wikipedia

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